Department of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
Department of Molecular and Translational Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
Hisp Health Care Int. 2023 Sep;21(3):121-128. doi: 10.1177/15404153221098950. Epub 2022 May 6.
Hispanic women have the highest rates of incident cervical cancer in the United States (U.S.) and are 1.9 times more likely to die from cervical cancer than non-Hispanic Whites. Assess the impact of text message reminders on cervical cancer screening attendance and completion. Pragmatic non-randomized study design using propensity matched analysis. Community-dwelling low-income females in the U.S./Mexico border community. A total of 2,255 mainly Hispanic females aged 21-65. Text message reminders in addition to usual care (telephone call reminders). After adjusting for significant factors and propensity score matching, individuals in the text reminder group had 11% lower screening incidence than individuals without text reminders (risk difference [RD] = -0.11, 95% : -0.16, -0.05; < .001). Participants with text reminders were less likely to complete cervical screening than usual practice in a predominantly Hispanic population. Our study demonstrates that reminders' content rather than method may be vital to improving our population's cancer screening rates.
在美国，西班牙裔女性宫颈癌发病率最高，死于宫颈癌的风险比非西班牙裔白人高 1.9 倍。评估短信提醒对宫颈癌筛查参与度和完成度的影响。采用倾向评分匹配分析的实用非随机研究设计。居住在美国/墨西哥边境社区的低收入女性。共有 2255 名主要为西班牙裔的 21-65 岁女性。短信提醒+常规护理（电话提醒）。在调整了显著因素和倾向评分匹配后，短信提醒组的筛查发病率比没有短信提醒组低 11%（风险差异 [RD] = -0.11，95%：-0.16，-0.05；<0.001）。在以西班牙裔为主的人群中，有短信提醒的参与者完成宫颈癌筛查的比例低于常规做法。我们的研究表明，提醒的内容而不是方法对于提高我们人群的癌症筛查率可能至关重要。
